University of Oulu

Sinikka Leppänen, Miia Jansson, Hanna-Mari Pesonen, Satu Elo, Effectiveness of Education in Improving the Performance of Medical Emergency Team Nurses, Clinical Simulation in Nursing, Volume 26, 2019, Pages 64-71, ISSN 1876-1399,

Effectiveness of education in improving the performance of medical emergency team nurses

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Author: Leppänen, Sinikka1; Jansson, Miia2; Pesonen, Hanna-Mari3;
Organizations: 1Division of Intensive Care, Department of Anesthesiology and Intensive Care, Oulu University Hospital, Oulu, Finland
2Postdoctoral Researcher, Medical Research Center Oulu, Oulu, Finland
3Postdoctoral Researcher, Principal Lecturer, Centria University of Applied Sciences, Finland
4Adjunct Professor, Consultant, Research Unit of Nursing Science and Health Management, University of Oulu and Oulu University Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
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Language: English
Published: Elsevier, 2019
Publish Date: 2020-01-31


Background: Numerous national safety organizations have recommended the use of a Medical Emergency Team (MET) system to improve hospital safety. However, there is little evidence regarding the effectiveness of the educational approaches used to train METs.

Objective: To evaluate how effective educational interventions are at improving the performances of MET nurses.

Methods: A systematic literature review was conducted in five multi-disciplinary databases. The studies were selected and independently assessed by two researches. The analysis followed the principals of narrative synthesis.

Results: A lack of suitable studies meant that only two studies were analyzed. Nevertheless, they confirmed that simulation team training is an effective method and preferred among METs. The assumption of specific roles during training improved the task completion rate.

Conclusions: The effectiveness of MET educational interventions remains unclear due to a lack of published studies. Future studies on MET educational interventions should clarify and evaluate the roles of MET nurses and how they perform during emergency situations.

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Series: Clinical simulation in nursing
ISSN: 1876-1399
ISSN-E: 1876-1402
ISSN-L: 1876-1399
Volume: 26
Pages: 64 - 71
DOI: 10.1016/j.ecns.2017.10.013
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2017 International Nursing Association for Clinical Simulation and Learning. Published by Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license